Terrence Licciardi III RPA

NPI 1932306735 - Radiology Practitioner Assistant - 243U00000X

NPI Details
NPI 1932306735
Gender Male
Enumeration Date 06/27/2007
Last Updated 09/29/2008
Entity Type Individual
Active Over 9 years ago
Practice Location
23 STILES RD
SALEM NH, 03079-2859, US
Phone (603) 898-3129
Fax
Business Location
37 14TH AVE
HAVERHILL MA, 01830-3232, US
Phone (978) 521-0998
Fax
Toxanomy
Taxonomy Code 243U00000X
License State Massachusetts
License Number 06481
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According to our database, Terrence Licciardi III RPA NPI is 1932306735, taxonomy code is 243U00000X and license number is 06481, license state is located at Massachusetts. Terrence Licciardi III RPA physically located at 23 Stiles Rd, Salem NH, 03079-2859. NPI Number Terrence Licciardi III RPA has the Individual type.

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1932306735 NPI number is provided on an as is basis without warranty of any kind. 1932306735 is maintained by the National Plan & Provider Enumeration System. The contents of Terrence Licciardi III RPA are for informational purposes only.